The TOTAL amount charged for your treatment.

This can be a Fixed rate or an amount announced by a specialist.

Amount charged by a Doctor for time spent treating a patient.

A Doctor in "Secteur 1" will NOT charge over the"Tarif de Convention" and you will be totally reimbursed even on the lowest levels of Top-UP.

A Doctor in "Secteur 2" can charge over the "Tarif de Convention" and you will only be reimbursed if you have a higher level of "Top-Up".

You could be faced with "Dépassement d'honoraires" for a simple 15 minute specialist visit or for 4 hours of Major Surgery.

Rates charged must be communicated in advance, get in contact with the administration if not. .

Base rate given to medical treatment recognizable by a code that indicates its nature and tariff called “Nomenclature” fixed by the “CCAM”(Classification Commune des Actes Médicaux).

The “Tarif de Convention” fixes the 100% base rate that all medical professionals use but it does NOT limit their fees charged.

Top-Ups relate to the base rate and NOT to actual expenses. .

This represents the difference between your “Régime Obligatoire” reimbursements and the "Tarif de Convention".

This amount, normally reimbursed by a Top-Up will be reimbursed by your “Régime Obligatoire” in case of long-term illness, handicap or maternity.

The “100%” or the "TM" referred to on "Tiers Payant“ slips from Top-Ups will guarantee payment of the "Ticket Moderateur" to any professional accepting to use this facility without having to advance any money. .

The Percentage of the "Tarif de Convention" that is covered by your “Régime Obligatoire”.

Usually these reimbursements come from "CPAM" or “RSI” if you are self employed.

Reimbursements range from 35% to 100% but are commonly referred to as 70% of the "Tarif de Convention".

Once fully into the French system you will receive a “Carte Vitale”.

This card replaces payment to medical professionals equipped with the “System Noemi”.

"Part Mutuelle". This is the amount paid on your behalf by a Top-Up.

"Dépassement d'honoraires" can be reimbursed by a Top-Up.

Top-Ups starts at 100% and can go up to 600% or more depending on your needs and especially what area you live in.

SOFICA’s sugests middle cover, around 200% for hospitalization permitting you to use Doctors charging twice the "Tarif de Convention“ but lower for the rest as some base rates are very low.

These are treatments that are NOT included on the “CCAM” list thus they do not have a base rate.

These treatments are often in addition to ongoing treatment.

The “CCAM” tend to exclude preventative medicines, "Médecines douces“ that have not been accepted by the “Académie des Sciences”.

Some Top-Ups reimburse thing like osteopathy and homeopathy using Fixed rates set by the companies called “Forfait Annuel”.